Looking for keto-friendly restaurants? Our top picks are Freddie's Sandwiches, Ristorante Fior d'Italia and Scoma's, ranked by diner ratings among restaurants whose current menus carry keto-tagged dishes. The full list below updates as menus change.
Discover the top-rated dining experiences
Discover the best North Beach restaurants with keto options. Highly rated spots with authentic keto menu items.
North Beach's Premier Keto Destinations
Explore the vibrant culinary landscape of San Francisco's North Beach, where historic charm meets a diverse array of keto-friendly dining options. This curated selection highlights everything from classic Italian favorites and fresh seafood to bold Spanish flavors and refined Japanese dishes. Whether you are grabbing a quick American-style bite or enjoying a leisurely Mediterranean meal, these local staples ensure you can stick to your lifestyle without sacrificing the neighborhood's iconic taste.
28 restaurants in Best North Beach Restaurants with Keto Options | Top Rated
- Freddie's Sandwiches · rated 5/5: 5 keto-friendly dishes on the menu. American.
- Ristorante Fior d'Italia · rated 4/5: 3 keto-friendly dishes on the menu. Italian.
- Scoma's: 10 keto-friendly dishes on the menu. Seafood.
- Lai Hong Lounge: 8 keto-friendly dishes on the menu. Chinese.
- The Stinking Rose: 8 keto-friendly dishes on the menu. Italian.
- Z & Y Restaurant: 8 keto-friendly dishes on the menu. Chinese.
- Belle Cora: 7 keto-friendly dishes on the menu. Mediterranean.
- Caffe Trieste: 5 keto-friendly dishes on the menu. Italian.
- Il Pollaio: 5 keto-friendly dishes on the menu. Italian.
- Columbus Burger: 5 keto-friendly dishes on the menu. American.
- Bix: 5 keto-friendly dishes on the menu. American.
- House of Nanking: 4 keto-friendly dishes on the menu. Chinese.
- North Beach Pizza: 4 keto-friendly dishes on the menu. Italian (Pizza is the.
- Red Window: 3 keto-friendly dishes on the menu. Spanish.
- Il Casaro Pizzeria: 3 keto-friendly dishes on the menu. Italian.
- Roka Akor: 3 keto-friendly dishes on the menu. Japanese.
- Boudin Bakery & Museum · rated 5/5: 1 keto-friendly dish on the menu. American.
- Molinari Delicatessen · rated 4/5: 2 keto-friendly dishes on the menu. Italian.
- Cioppino's · rated 4/5: 2 keto-friendly dishes on the menu. Italian.
- Sotto Mare: 2 keto-friendly dishes on the menu. Seafood.
- Cotogna: 2 keto-friendly dishes on the menu. Italian.
- Abrazo: 2 keto-friendly dishes on the menu. Spanish.
- Barbara Pinseria & Cocktail Bar: 2 keto-friendly dishes on the menu. Italian.
- Taqueria Zorro: 2 keto-friendly dishes on the menu. Mexican.
- Elephant Sushi: 1 keto-friendly dish on the menu. Japanese.
- Golden Boy Pizza: 1 keto-friendly dish on the menu. Italian.
- Eight Tables: 1 keto-friendly dish on the menu. Chinese.
- Swensen's Ice Cream: 1 keto-friendly dish on the menu. American.
How this list is built
Chefi analyzes each restaurant’s menu and tags every dish’s dietary suitability with an ingredient-based engine. Restaurants with at least three matching dishes on their current menu rank first, ordered by diner ratings, with the number of matching dishes breaking ties; owner-verified restaurants are highlighted at the top. Lists refresh as menus and ratings change.





















